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Percutaneous entry is the initial and most important part of percutaneous nephrolithotomy (PNL). Needle puncture directly into the fornix of a calyx is the safest route of percutaneous entry into the renal collecting system. When the pelvicalyceal system is not dilated, localization and puncture of the specific calyx may require special expertise. Ho:YAG laser lithotripsy was performed 〒 710−8522 倉敷市白楽町 250 TEL : 086−422−2111 (250 Bakurocho, Kurashiki, Japan Tel: +81-86-422-2111 Fax: +81-86-422-4150) Corresponding author: isito66@yahoo.co.jp(石戸 則孝) 日レ医誌(JJSLSM)第33 巻第4 号(2013) 362

nippon laser igakkaishi/nihon reza igakkaishi

A Novel Needle Puncture Technique to the Renal Calyx using Laser-Assisted Ultrasound Scanning (LAUS) Method just before Percutaneous Nephrolithotomy: Preliminary Report